Description for Male Exam

Hi,

I'm new to this, and I was wondering if someone could give me a list of some of the more common procedures that are conducted in the exams of male patients.

Thanks in advance.

It varies depending on the type of doctor, what kind of appointment you make, and the doctor themselves. If you go to a family doctor it will probably be different than if you see a specialist like a urologist. Also if you go in for a complete physical it will likely be different than if you go in for a specific complaint like "I twisted my ankle" where they will pretty much stick to what your complaint is about.

But I'll assume you're talking about a regular doctor and going for a typical annual physical.

For the most part they will check you from head to toe, starting at your head and working their way down. They check your eyes, ears, nose, throat, feel your glands in your neck, and your arteries in your neck to try and detect possible blockages that could lead to a stroke some day. They'll listen to your heart and lungs. Then they'll take a brief look at your legs, and feet, checking for swelling in your feet and ankles that might be a sign of things like heart problems or maybe diabetes.

Any reasonably good doctor will do at least a brief genital and hernia exam and ask you if you have any pains when you urinate, do you check your testicles for lumps, etc. The genital exam is typically brief just quick look at the penis, feel for lumps in the testicles, then a hernia test by feeling between your scrotum and legs while you give a quick cough.

They may or may not do a rectal/prostate exam, often depending on your age. Some doctors say you don't need one until your 40, 45, even 50, but even men in their 30s can have prostate cancer or other prostate issues, or colon or rectal cancer. So I'd be proactive and tell them you want a digital rectal exam. Its quick, and really not painful. Just a quick finger in your rectum to feel your prostate gland and around your rectum for lumps. They also wipe their finger on a slide with a solution to do a quick check for blood in your stool which can be a sign of colon/rectal cancer.

Most physicals should include a quick EKG of your heart because most insurance companies will cover it as part of a physical.

More men should have regular exams, and I've really come to enjoy mine, especially when the doctor is female.

That sounds like a typical exam. I am 27 and i have never been given a rectal exam unfortionetly. I have had doctors spread my anus open breifly. Mens exams arent as fun as females.

My experience with a routine physical is identical to medfanguy. Prior to the physical, my MD orders blood urine tests and these are done beforehand so that results are available at the time of the exam. Prior to exam, nurse will take pulse, BP, weight. Depending on age, the doc may order subsequent procedures such as a stress test (heart), colonoscopy (need I explain), glucose tolerance, etc.

As far as how undressing goes, it depends on the doctor. Some will just have you drop your pants when the time comes, others will have you strip to your underwear before the exam, and some will have you totally undress and give you either a gown or lap drape to cover you with. Personally, I've never had one that had me strip completely for the whole exam without some sort of available covering. I've read other posts where people have claimed this to happen, but I can't honestly say if they were real or fantasy posts.

Thank you for that information. I'm going to need to decide how to go about this. I'm going to be performing an exam for the first time. Wish me luck...

I not only wish you luck, I wish you fun. Turning it into something I enjoy has really taken the fear and anxiety out of going to the doctor for me, so I now get regular, routine care and I stand a better chance of them finding it early if I ever do have a serious issue to deal with.

Curious,

One suggestion for your newbie doctor role.....a genital and rectal exam is standard operating procedure for a male exam. Close inspection of the exterior male appendage and palpitation of the two internal beauties is all part of the exam. Squeeze those puppies, roll them between your fingers....I've had all that done to various degrees over the years by my docs. And for the other end, your vaginal speculums can double for a proctoscope. Let him feel what a woman patient feels when the cold blades (how about putting them in the freezer for a bit first?) go in and you start to open him wide. From there, I'll let your imagination take over.

[quote author=curiouspatient link=topic=1465.msg9748#msg9748 date=1211421487]

Thank you for that information. I'm going to need to decide how to go about this. I'm going to be performing an exam for the first time. Wish me luck...

[/quote]

Good luck!

It was fun when I once had a female Physician Assistant give me a Testicle exam. 😮

Let us know what you examine and if you get embarrassed. 😳

Louie -

Play safe, play clean, and hopefully it will be fun for both you and your "patient". Good luck!

When i was 19 i'd make sport visit...a female Physician give me a penis and Testicle exam, she was young bu very sweet and expert doctor..che ended with a rectal exam, it was a little be unconfotable, but very rapid one

I injured my boys once, ended up in the ER. Woman Dr. comes in and I was in so much pain that I couldn't enjoy the exam.....

Here is a link that might help you. The link is a link of instructions for medical students for when they are learning how to do exams. Here is the link:

http://medinfo.ufl.edu/year2/male_gen.html

The male exam is like the female exam except for breasts, genitals, and prostate. You should palpate the male breasts since men can get breast cancer. Do it much the same as female breast exam. I suggest you have your patient stripped to his undershorts from the beginning of the exam. Save the genitals and rectal for last. This is what most men are expecting and, since they are the embarrassing parts, it allows the exam to build to the grand finale. I would suggest that you do the abdominal exam as the body part immediately preceding these. That would have the patient lying supine on the table. From there have him stand in front of you while you sit on a chair or stool. Glove up and then give him the command to expose his genitals. Say something nerdy like most doctors do such as "ok, let's slip your shorts down." I find it a little more humiliating to just have my shorts pushed down below my scrotum rather than to the knees, ankles, or all the way off. If they are down below the scrotum, I think it focuses more attention on the genitals as the area of interest. Once the genitals are exposed, first check the meatus if he's circumcised or retract the foreskin and examine the glans if he is uncircumcised. I have never had a doctor palpate the shaft of my penis, but I understand some do this. Next, you want to feel his testes thoroughly, one at a time. Then do the hernia exams. Push your index finger into the inguinal canal through his upper scrotum right next to the base of his penis. Tell him "turn your head and cough." Probably repeat that command two or three times on each side. Very humbling in my opinion. Then it's time for the prostate exam. Tell him you are going to examine his rectum and prostate. Have him turn and bend over the table. Lubricate your index finger and slide it in. The prostate is toward the front and will be just about at the tip of your finger. Push aggressively on the prostate to create discomfort. If you push hard enough, you will get some seminal fluid to flow. Then give him a tissue and tell him to wipe off and pull up his shorts. If you do this part right, you will give your male patients a memorable and humbling experience. Hopefully, you will enjoy the domination and the equipment.

Very nice description exam doc!

Thanks, Flyfisher. What did you find noteworthy?

It was very in depth and very erotic in my opinion, an inexperienced play doc could easily take that and make a full exam fantasy out of it; generally it was very well described.

Thanks. There is nothing to compare to a good genital/hernia/rectal exam. If done properly, totally humbling as it occurs, but exciting to reflect upon later.